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Behavioral Health Worker Registered Behavior Technician or Board Certified Autism Technician Provider Type 430 Specialty 098 Attestation Template - New Mexico
Behavioral Health Worker Registered Behavior Technician or Board Certified Autism Technician Provider Type 430 Specialty 098 Attestation Template is a legal document that was released by the New Mexico Human Services Department - a government authority operating within New Mexico.
FAQ
Q: What is the Provider Type for the Behavioral Health Worker Registered Behavior Technician or Board Certified Autism Technician?A: Provider Type 430
Q: What is the Specialty for the Behavioral Health Worker Registered Behavior Technician or Board Certified Autism Technician?A: Specialty 098
Q: What is the Attestation Template for the Behavioral Health Worker Registered Behavior Technician or Board Certified Autism Technician in New Mexico?A: New Mexico Behavioral Health Worker Registered Behavior Technician or Board Certified Autism Technician Attestation Template
Form Details:
- Released on July 1, 2020;
- The latest edition currently provided by the New Mexico Human Services Department;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Mexico Human Services Department.
